Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $333.22 / $830.16	Professional		$276.68	$333.22	$830.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $297.01 / $358.13 / $393.94	Professional		$297.01	$358.13	$393.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $330.00 / $339.05	Facility		$121.72	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.41 / $423.78 / $793.40	Professional		$300.41	$423.78	$793.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.53 / $472.82 / $628.29	Professional		$366.53	$472.82	$628.29
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.51 / $370.66 / $649.66	Professional		$260.51	$370.66	$649.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $297.42 / $421.51 / $518.73	Professional		$297.42	$421.51	$518.73